There are many beam models to simulate the variable thickness functionally graded material (FGM) beam, each model has advantages and disadvantages in computer aided engineering of the mechanical behavior of this beam. In this work, a new model of beam is presented to study the mechanical static bending, free vibration, and buckling behavior of the variable thickness functionally graded material beams. The formulations are based on modified first order shear deformation theory and interpolating polynomials. This new beam model is free of shear-locking for both thick and thin beams, is easy to apply in computation, and has efficiency in simulating the variable thickness beams. The effects of some parameters, such as the power-law material index, degree of non-uniformity index, and the length-to-height ratio, on the mechanical behavior of the variable thickness FGM beam are considered.
Abstractobjective To describe and analyse the prescription patterns and treatment outcomes of MDR-TB patients managed within Green Light Committee (GLC) and outside (non-GLC) the National TB programme in Viet Nam.methods Retrospective cohort study with two elements: (i) in-depth interviews and focus group discussions with clinical doctors, hospital pharmacists, and the non-GLC patients with MDR-TB; (ii) review of treatment cards and patients' charts of all GLC and non-GLC patients with MDR-TB put on treatment during 2010.results Of 282 patients with MDR-TB, comprising 79 (28%) GLC patients MDR-TB and 203 (72%) non-GLC patients with MDR-TB, were enrolled in the study. Treatment delay was significantly higher in the GLC group (12.8 days) than the non-GLC group (2.3 days), (P = 0.004). The success rate was significantly better in GLC patients (84.8%) than in non-GLC patients (53.7%) (P < 0.001). The default rate was significantly higher in non-GLC patients than in GLC patients (25.6% vs. 6.3%), (P < 0.001). The risk of unsuccessful outcome was higher in non-GLC patients (Hazard ratio = 4.6, 95% CI: 1.8-11.8).conclusions The treatment outcomes of patients with MDR-TB in the GLC group were significantly better than in the non-GLC group. Reasons for the high default rate in non-GLC patients with MDR-TB must be further investigated.
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